Provider Demographics
NPI:1518391457
Name:FLETCHER, JULIA ANN (BA)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5723 TRADEWIND DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-1192
Mailing Address - Country:US
Mailing Address - Phone:269-330-4196
Mailing Address - Fax:
Practice Address - Street 1:1431 NATALIE LN
Practice Address - Street 2:201
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2919
Practice Address - Country:US
Practice Address - Phone:269-330-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program